Brielle Ciccio

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

97 Green St
Foxboro, MA 02035-2865

Phone

(774) 215-5401

NPI assigned

Jun 10, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Sports IncGroup PAC ID 3072539337, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elite Sports, Inc.

  • Physical Therapist
  • Stoughton, MA
  • NPI 1093811408
  Medicare reassignment Care Compare group NPD
• Elite Health and Fitness

  • Physical Therapy Clinic/Center
  • Stoughton, MA
  • NPI 1184953390
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1750123980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 GREEN ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 GREEN ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352865",
            "telephone_number": "774-215-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCIO",
        "first_name": "BRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles S Chen, MD
• Ys Dooley Chen, MD
• Stacey Chiacchio
• Allison Chin
• Devon Choi
• Amy Jean Clara, PSY.D.
• Joshua M Cohen, LICSW, MT-BC
• Kimberly Roy Cohn, NP
• Paul Coleman-Psyche Nurse Practitioner, NP, PMHNP, APRN
• Jodi Gordon Congdon

• Physical Therapist in Foxboro, MA
• Providers in Foxboro, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.